Healthcare Provider Details

I. General information

NPI: 1295299527
Provider Name (Legal Business Name): CLAYTON J CARTER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2019
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3489 W 2100 S STE 350
WEST VALLEY CITY UT
84119-5897
US

IV. Provider business mailing address

402 WINCHESTER DR
STANSBURY PARK UT
84074-8212
US

V. Phone/Fax

Practice location:
  • Phone: 385-324-2508
  • Fax:
Mailing address:
  • Phone: 435-225-6706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7069676-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: